Abigael C., 14

Abigael is a Grade Six student at a nearby remote public day school. She is a jovial girl with aspirations to join the medical field in the future and enjoys participating in magazine and newspaper competitions. Her father works as a casual laborer, earning no more than KSh 150 per day. This limited income is used to cover school fees and provide for the family’s basic needs, often allowing only one meal per day. The family lives in a two-room mud house, shares a pit latrine with neighbors, and relies on stream water for drinking and domestic use. Abigael is a known epilepsy patient under follow-up care. She was brought to the facility by her mother after suddenly collapsing at school. Prior to the collapse, she had experienced headache, joint pain, general body weakness, vomiting, poor appetite, and fainting. Following laboratory investigations and clinical examination, Abigael was diagnosed with severe malaria, pneumonia, anemia, and epilepsy. She was admitted for treatment, further evaluation, and management.

Abigael patient was brought in the facility by her mother, with history of epilepsy, she reports that Abigail had complained earlier of headache, joint pain associated with general body weakness, vomiting, poor appetite and fainting. On examination and laboratory tests she was diagnosed with severe malaria, pneumonia, anaemia and epilepsy. Was admitted and given; i.v N/S, i.v artesunate, i.v pcm, syrup ranferon, p.o Amoxclave,p.o phenobarbital and carbamazapine for treatment and management. She responded positively on medication and discharged on a good condition.

Abigael’s prognosis is generally favorable with prompt and comprehensive treatment. Given the combination of severe malaria, pneumonia, and anemia, she requires close medical supervision, appropriate antimalarial therapy, antibiotics for pneumonia, supportive care, and hematinics for the anaemia.